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Current Heart Failure Reports

, Volume 9, Issue 3, pp 174–182 | Cite as

16-kDa Prolactin and Bromocriptine in Postpartum Cardiomyopathy

  • Denise Hilfiker-KleinerEmail author
  • Ingrid Struman
  • Melanie Hoch
  • Edith Podewski
  • Karen Sliwa
Investigative Therapies (J.-L. Balligand, Section editor)

Abstract

Peripartum cardiomyopathy (PPCM) is a potentially life-threatening heart disease emerging toward the end of pregnancy or in the first postpartal months in previously healthy women. Recent data suggest a central role of unbalanced peri-/postpartum oxidative stress that triggers the proteolytic cleavage of the nursing hormone prolactin (PRL) into a potent antiangiogenic, proapoptotic, and proinflammatory 16-kDa PRL fragment. This notion is supported by the observation that inhibition of PRL secretion by bromocriptine, a dopamine D2-receptor agonist, prevented the onset of disease in an animal model of PPCM and by first clinical experiences where bromocriptine seem to exert positive effects with respect to prevention or treatment of PPCM patients. Here, we highlight the current state of knowledge on diagnosis of PPCM, provide insights into the biology and pathophysiology of 16-kDa PRL and bromocriptine, and outline potential consequences for the clinical management and treatment options for PPCM patients.

Keywords

Peripartum cardiomyopathy Heart failure Pregnancy Prolactin Bromocriptine Angiogenesis Therapy 

Notes

Acknowledgments

This study was supported by the Deutsche Forschungsgemeinschaft (DFG) and the National Research Foundation (NRF).

Disclosures

No potential conflicts of interest relevant to this article were reported.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Denise Hilfiker-Kleiner
    • 1
    Email author
  • Ingrid Struman
    • 2
  • Melanie Hoch
    • 1
  • Edith Podewski
    • 1
  • Karen Sliwa
    • 3
  1. 1.Department of Cardiology and AngiologyMedizinische Hochschule HannoverHannoverGermany
  2. 2.Unit of Molecular Biology and Genetic Engineering, GIGA-CancerUniversity of LiègeLiègeBelgium
  3. 3.Hatter Institute for Cardiovascular Research in Africa, Department of Medicine & IIDMM, Faculty of Health SciencesUniversity of Cape TownCape TownSouth Africa

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